BROOKLYN LEE SPENCER (NPI# 1104434760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104434760 |
| Entity Type | Individual |
| Full Name | BROOKLYN LEE SPENCER |
| Credential | PHARMD |
| Practice Address |
12796 Bailey Cove Rd Se Huntsville AL 35803-2659 |
| Mailing Address |
1411 Legacy Farm Dr Se Huntsville AL 35802-2637 |
| Practice Telephone | 2568852161 |
| Mailing Telephone | 2057123638 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21439 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF PHARMACY | 21439 | 01 |
| Street Address |
12796 BAILEY COVE RD SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35803-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831139260 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 12796 Bailey Cove Rd Se, Huntsville, AL 35803-2659 | 2006-06-07 |
| 1093198590 | Brittney Rose | Pharmacist | 12796 Bailey Cove Rd Se, Huntsville, AL 35803-2659 | 2015-07-01 |
| 1609266238 | Alex Collin Burgett | Pharmacist | 12796 Bailey Cove Rd Se, Huntsville, AL 35803-2659 | 2015-02-03 |
| 1023355955 | Erica R Hoge | Pharmacist | 12796 Bailey Cove Rd Se, Huntsville, AL 35803-2659 | 2013-01-11 |
| 1851638910 | Eric Mauldin | Pharmacist | 12796 Bailey Cove Rd Se, Huntsville, AL 35803-2659 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358132 | Madison Elizabeth Malone | Student in an Organized Health Care Education/Training Program | 11019 Everest Circle, Huntsville, AL 35803 | 2017-07-12 |
| 1023493509 | Christopher M O'barr | Nurse Practitioner | 2604 Quail Ridge Lane Sw, Huntsville, AL 35803 | 2015-07-24 |
| 1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
| 1538280334 | Debra Lynn Means | Nurse Practitioner | Walmart 11610 South Memorial Parkway, Huntsville, AL 35803 | 2007-04-02 |
| 1104894963 | Mary Elizabeth Barry | Nurse Practitioner | 10300 Bailey Cove Rd Se Ste 13, Huntsville, AL 35803 | 2006-03-09 |
| 1023094042 | Hospice Family Care | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2005-12-21 |
| 1134120553 | Robert L Hash II | Neurological Surgery | 10000 Serenity Lane S.e., Huntsville, AL 35803 | 2005-08-09 |
| 1427571157 | Hh Health System - Caring for Life | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2017-07-25 |
| 1912428384 | Coker Eye Care, LLC | Optometrist | 2235 National Blvd Sw, Huntsville, AL 35803 | 2017-07-06 |
| 1316392533 | Lydia Foster Doubet Shull | Nurse Practitioner | 1425 Weatherly Rd Se, Huntsville, AL 35803 | 2016-04-25 |
| Find all providers in zip 35803 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1255818324 | Hayleigh Grossheim Harper | Pharmacist | 1660 Old Monrovia, Huntsville, AL 35806 | 2018-07-23 |
| 1295223717 | James Dwayne Teague | Pharmacist | 6140a University Dr Nw, Huntsville, AL 35806-1710 | 2018-04-30 |
| 1134645229 | James Higginbotham | Pharmacist | 127 Morningwalk Ln Sw, Huntsville, AL 35824-3100 | 2017-08-21 |
| 1477088805 | Cindy Anderson | Pharmacist | 601 Indian Lake Dr Se, Huntsville, AL 35803-3059 | 2017-04-24 |
| 1730563826 | Madalyn Colleen Mcminn | Pharmacist | 22 Ashbury Woods Dr, Apt 311, Huntsville, AL 35824-3175 | 2015-07-17 |
| 1740696392 | Holli Michelle Dunn | Pharmacist | 555 Sparkman Dr Nw Ste 814, Huntsville, AL 35816-3423 | 2014-07-03 |
| 1437563293 | William Scot Wilson | Pharmacist | 285 Dunlop Blvd Sw, Suite A, Huntsville, AL 35824-1119 | 2014-06-19 |
| 1144634700 | Megan Skaff Helms | Pharmacist | 1338 Winchester Rd Ne Ste A, Huntsville, AL 35811-8658 | 2014-06-11 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35803 |
Please comment or provide details below to improve the information on BROOKLYN LEE SPENCER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.